Individual
XIANG NONG LUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21616 UNION TURNPIKE, BAYSIDE, NY 11364
(718) 465-4000
(718) 776-6823
Mailing address
ONE MAIN STREET, DEPT. REHAB MED, ROOSEVELT ISLAND, NY 10044
(212) 318-4500
(718) 776-6823
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
215472
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02121460
—
NY
Enumeration date
10/10/2006
Last updated
06/03/2010
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